NPIMap

Organization Active NPI

Equilibrio Home Health of Virginia Inc.

  • Home Health Agency
  • Virginia Beach, VA
National Provider Identifier
1669852208
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EQUILIBRIO HOME HEALTH OF VIRGINIA INC.
Practice address
1142 Jensen Dr
Virginia Beach, VA 23451-5872
Phone
(814) 449-9342
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Silver
Title
President
Phone
(814) 449-9342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1142 Jensen Dr
Virginia Beach, VA 23451-5872

Mailing address

3160 Coopers Arch
Virginia Beach, VA 23456-3456
Phone (814) 449-9342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160524000454 VA Part A Provider - Home Health Agency 1153610654 Practice locations: Virginia Beach, VA

Home health agency certification: CCN 497735

Legal name
EQUILIBRIO HOME HEALTH OF VIRGINIA INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 26, 2016
Last certification
Nov 26, 2016
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 8, 2015 in VA
Enrollment address
1142 Jensen Dr
Virginia Beach, VA 23451-5872

Care Compare: Home health agency

Medicare Care Compare
Listed as
Equilibrio Home Health of Virginia IncCCN 497735
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Nov 26, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2102129Equilibrio Home Health of Virginia, Inc1142 Jensen Drive, Virginia Beach, VA 23451Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Locations

1142 Jensen Dr
Ste 101
Virginia Beach, VA 23451

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew Daniel Silver Individual Corporate OfficerVice President, Secretary, Alter Jun 8, 2015
Corporate DirectorVP Secretary Alt Administrator Jun 8, 2015
W-2 Managing EmployeeAlternate Administrator, Secreta Jun 8, 2015
Kimberly Elizabeth Silver Individual 5% Or Greater Direct Ownership InterestOwner Jun 8, 2015 100%
Corporate OfficerPresident,Treasurer,Administrato Jun 8, 2015
Corporate DirectorPresident,Treasurer,Administrato Jun 8, 2015
W-2 Managing EmployeeAdministrator,President,Treasure Jun 8, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Kimberly E Silver, PA-C
    • Physician Assistant
    • Virginia Beach, VA
    • NPI 1811084346

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 23

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1669852208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 COOPERS ARCH",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563456",
            "telephone_number": "814-449-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 JENSEN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515872",
            "telephone_number": "814-449-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIO HOME HEALTH OF VIRGINIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-449-9342"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.